Muriel Street Resource Centre

Updated 11 June 2022

The inspection

We carried out this targeted inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by a single inspector.

Muriel Street Resource Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider has sent to us, such as notifications, which the provider is required to submit if particular events occur.

During the inspection-

We had passing conversations with three people using the service and asked how people they were, and each replied they felt ok. We also observed staff interacting with people during activities and when being supported at lunchtime. These interactions were positive, and staff were seen treating people with the dignity and respect they deserved. We also spoke with the manager, who has applied for registration with CQC.

We looked at a sample of risk assessments for 5 people around potential risks they faced when eating and drinking. We also looked at four records, and storage, of controlled medicines for people living on the ground floor.

After the inspection –

We continued to seek clarification from the provider to validate evidence found.

Updated 11 June 2022

About the service

About the service: Muriel Street Resource Centre provides nursing care to men and women with a range of

needs including physical disabilities, dementia and mental illness. The home is able to accommodate a

maximum of 63 people over three floors. There were 45 people using the service on the day of the

inspection.

People’s experience of using this service and what we found

Since our last inspection, the service had changed. There was a stable management team that with the help of the staff introduced improvements across all the areas of the service delivery. The five breaches identified during our previous visit related to dignity and respect, safeguarding people, nutrition and hydration, staffing and governance of the service had been met. The recommendations about comprehensive risk assessment and risk management planning and the Mental Capacity Act had been followed. Despite the adversities of the COVID-19 pandemic during the last 12 months, the service had managed well and received positive feedback from people using the service, their relatives and external health and social care professionals.

People were protected from the risk of harm and abuse. There was an effective safeguarding procedure in place and staff followed it. Risks to people’s health and wellbeing had been assessed and reviewed. There was a safe recruitment procedure and the managers effectively used the initial probation period and performance management procedures to ensure staff employed were suitable for their role. Medicines were administered safely.

The environment was safe and clean. The service followed safe infection prevention and control measures to ensure people were protected from risks of the COVID-19 pandemic. Accidents and incident as well and any safeguarding concerns had been analysed regularly and action was taken to ensure these had not happened again.

Staff received appropriate induction, training and supervision to help them to provide the most suitable care to people. Staff felt supported by their managers. They told us managers were appreciative of their work and were keen to involve them in the service improvement process.

The service provided effective care to people. People received food and nutrition that was appropriate for their health needs and personal dietary preferences. People’s health and wellbeing had been monitored. Staff took supportive action when people’s health had changed and they needed further attention from external health professionals.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and their best interests; the policies and systems in the service supported this practice.

People and their visitors described staff as kind and caring. During our visit we observed staff engaging positively with people in a caring and respectful manner. We saw staff sitting with people and engaging them in discussions and activities. Staff offered people choices so people could make decisions about their care.

People received person-centred care. Each person had personalised care plans which included information about people’s life, their communication and their care needs and preferences. People and relatives were involved in care planning and reviewing.

The home’s lifestyle coordinator, with contribution from other staff involved people in meaningful activities. These were tailor-made for each person and had taken into consideration the drawbacks and benefits of living during the COVID-19 pandemic. People and their relatives had all told us that staff supported them to stay in contact throughout the pandemic.

The home was tastefully decorated in a way that met the sensory needs of people living with dementia. The atmosphere was pleasant, peaceful and everyone (people and staff) appeared settled and relaxed.

The management team together with the provider had introduced a range of effective quality monitoring and assurance systems. These included a mixture of managerial audits and feedback gathered from staff, people living at the home and their relatives. The systems helped to thoughtfully link various aspects of the service delivery, allowing its contemporaneous and seamless review. As a result, any shortfalls in the service delivery were highlighted and actions on improvements were introduced where needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was requires improvement (published 08 May 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this inspection to check if the service had followed their action plan and to confirm they now met legal requirements. This inspection has initially started as a focused inspection on the safe, and the well-led domain we were also planning to review breaches and recommendations in the effective and caring domains. During our visit, we observed significant improvements in the quality of the service delivered. Therefore, we extended this inspection to a five domain, comprehensive inspection to reflect positive changes across all the areas of the service delivery.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Muriel Street Resources Centre on our website at www.cqc.org.uk.